Author Question: The home health nurse discusses with the parent of a child with Stevens-Johnson syndrome the need to ... (Read 57 times)

OSWALD · **on:** Jun 27, 2018

The home health nurse discusses with the parent of a child with Stevens-Johnson syndrome the need to seek medical consult to:

a. A dermatologist to treat the skin lesions
b. An ophthalmologist to assess the cornea
c. A gastroenterologist to evaluate the lesions in the gut
d. An otolaryngologist to assess the lesions in the mouth and throat

Question 2

A 16 year old who is in the ER after an automobile accident is exhibiting signs of shock. The assessment indicates that the teen has a steering wheel bruise mark on his chest. The teen is exhibiting signs of cardiogenic shock.

The nurse working with the trauma team knows the patient: 1. Has had a large loss of blood, which causes cardiogenic shock.
2. Has overwhelming sepsis from the accident, which is causing the cardiogenic shock.
3. The bruising to the chest could have caused damage to the heart, causing it to not be an effective pump, which results in cardiogenic shock.
4. The trauma to the chest has caused capillary leaking, leading to cardiogenic shock.

Moriaki · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Lesions on the eyes should be followed up by an ophthalmologist to assess for corneal scarring.

Answer to Question 2

3
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1. The large loss of blood volume depletes the patient, causing hypovolemic shock.
2. Overwhelming sepsis causes septic shock.
3. The bruising indicates that the chest and heart could have damaged the heart, causing cardiogenic shock.
4. The trauma can cause bruising to the heart muscle, but the capillary leaking will not cause cardiogenic shock.